DR. Bruce Bongar, PH.D.
NPI #1679794093 in Sausalito, California
Provider Information
- NPI Number
- 1679794093
- Entity Type
- Individual
- Name
- DR. Bruce Bongar, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- May 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1001 BRIDGEWAY
- Address 2
- #311
- City
- Sausalito
- State
- California
- ZIP Code
- 94965-2104
- Phone
- (415) 215-3797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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